Development of Mobile Contingency Management for Cannabis Use Reduction
The objective of this study was to refine a mobile contingency management approach to reduce cannabis use to ultimately evaluate whether reductions in frequency and quantity of cannabis are related to improvements in functional and mental health status. Three cohorts of participants (n = 18 total, n = 10 women) were enrolled and completed 2 weeks of ecological momentary assessment (EMA) during a baseline ad lib cannabis use period, followed by a 6-week reduction period. Participants completed EMA assessments multiple times per day and were prompted to provide videotaped saliva cannabis testing 2-3 times daily. Data from pa...
Source: Behavior Therapy - January 12, 2024 Category: Psychiatry & Psychology Authors: Jean C Beckham Patrick S Calhoun Zhengxi Chen Michelle F Dennis Angela C Kirby Emili T Treis Jeffrey S Hertzberg Lauren P Hair Adam J Mann Alan J Budney Nathan A Kimbrel Source Type: research

New Therapy for a New Normal: Comparing Telehealth and in-Person Time-Limited Parent-Child Interaction Therapy
Behav Ther. 2024 Jan;55(1):106-121. doi: 10.1016/j.beth.2023.05.002. Epub 2023 May 24.ABSTRACTTelehealth treatment for child disruptive behavior has the potential to overcome multiple barriers to access (e.g., transportation, therapist availability). Traditional Parent-Child Interaction Therapy (PCIT) has demonstrated efficacy via telehealth in randomized controlled trials. The current study extends this research by examining community-based effectiveness of time-limited (i.e., 18 week) telehealth PCIT, comparing intake and posttreatment child behavior and caregiver skills for both telehealth and in-person PCIT. Participan...
Source: Behavior Therapy - January 12, 2024 Category: Psychiatry & Psychology Authors: Abigail Peskin Alexandra Barth W Andrew Rothenberg Amanda Turzi Diana Formoso Dainelys Garcia Jason Jent Source Type: research

The Unique and Moderating Role of Social and Self-Evaluative Factors on Perinatal Eating Disorder and Depression Symptoms
This study did not identify differences in ED or depression symptoms across women at different stages of pregnancy; however, depression symptoms significantly improved within individuals from pregnancy to postpartum. ED symptoms and all social and self-evaluative factors were uniquely associated with depression during pregnancy. ED symptoms, maladaptive perfectionism, social appearance anxiety, and self-compassion during pregnancy significantly predicted postpartum depression, when accounting for prenatal depression. During pregnancy, but not postpartum, when social support and self-compassion were low, and when maladaptiv...
Source: Behavior Therapy - January 12, 2024 Category: Psychiatry & Psychology Authors: Caroline Christian Stephanie C Zerwas Cheri A Levinson Source Type: research

Is Self-Help Dangerous? Examination of Adverse Effects of a Psychological Internet-Based Self-Help Intervention for Body-Focused Repetitive Behavior (Free From BFRB)
Behav Ther. 2024 Jan;55(1):136-149. doi: 10.1016/j.beth.2023.05.013. Epub 2023 Jun 2.ABSTRACTDespite the proven effectiveness of psychotherapy for psychiatric disorders, adverse events or unwanted effects may occur. Unwanted effects, however, are rarely assessed. In self-help interventions, which usually are not supported by a therapist, such effects have received even less attention even though special caution is needed regarding unwanted effects such as those related to misapplication. For the present study, we present the newly developed Positive and Negative Effects of Psychotherapy Scale for Internet-Based Interventio...
Source: Behavior Therapy - January 12, 2024 Category: Psychiatry & Psychology Authors: Anna Baumeister Stella Schmotz Sarah Weidinger Steffen Moritz Source Type: research

Investigating the Theory of Clinical Perfectionism in a Transdiagnostic Eating Disorder Sample Using Network Analysis
Behav Ther. 2024 Jan;55(1):14-25. doi: 10.1016/j.beth.2023.05.001. Epub 2023 May 12.ABSTRACTEating disorders are deadly psychiatric illnesses, with treatments working for less than half of individuals who seek treatment. The transdiagnostic theory of eating disorders proposes that eating disorders share similar maintaining symptoms, such as what this theory calls clinical perfectionism (i.e., high levels of concern over mistakes and personal standards). However, it has been difficult to examine the interrelationship of specific aspects of perfectionism, beyond assessing moderation effects, which have generally not found su...
Source: Behavior Therapy - January 12, 2024 Category: Psychiatry & Psychology Authors: Christina Ralph-Nearman Brenna M Williams Anna Marie L Ortiz Cheri A Levinson Source Type: research

The High Impact of Low Intensity: Effectiveness of the BounceBack Program for Depression and Anxiety in Ontario
The objective of this program evaluation was to examine the effectiveness of the BounceBack program in Ontario by exploring (a) changes in participants' depression and anxiety symptoms and functional impairment (as measured by the PHQ-9, GAD-7, and WSAS, respectively); and (b) rates for recovery and reliable improvement. Multilevel modelling (MLM) results indicated that participants reported significant improvements in their depression, anxiety, and functioning symptoms over time, which are not better accounted for by other demographic factors. Higher baseline severity of symptoms were associated with greater decreases in ...
Source: Behavior Therapy - January 12, 2024 Category: Psychiatry & Psychology Authors: Lyndall Schumann Katey Park Jennifer Rouse Helen Chagigiorgis Source Type: research

Venciendo la Depresi ón: A Pilot Study of Telehealth-Delivered Behavioral Activation for Depressed Spanish-Speaking Latinxs
Behav Ther. 2024 Jan;55(1):164-176. doi: 10.1016/j.beth.2023.05.011. Epub 2023 Jun 7.ABSTRACTLatinxs are substantially impacted by depression. The research literature has documented barriers (e.g., stigma, limited English proficiency, and lack of transportation) contributing to the underutilization of behavioral health services among Spanish-speaking Latinxs (SSLs). Telehealth can be broadly defined as the provision of healthcare information and services through the use of telecommunications technology. Behavioral Activation (BA) has well established empirical support for reducing symptoms of depression among ethnic minori...
Source: Behavior Therapy - January 12, 2024 Category: Psychiatry & Psychology Authors: Francisco A Reinosa Segovia Lorraine T Benuto Source Type: research

The Effects of a Meaning-Centered Intervention on Meaning in Life and Eating Disorder Symptoms in Undergraduate Women With High Weight and Shape Concerns: A Randomized Controlled Trial
Behav Ther. 2024 Jan;55(1):177-190. doi: 10.1016/j.beth.2023.05.012. Epub 2023 Jun 7.ABSTRACTLow meaning in life has been proposed as an important factor in the maintenance of eating disorders and previous findings suggest that targeting meaning might optimize treatment effectiveness. The current randomized controlled trial aimed to investigate the efficacy of meaning-centered psychotherapy adjusted for eating disorders (MCP-ED) to improve meaning in women with high weight and shape concerns. Female students with high weight and shape concerns (N = 134) were randomly assigned to the waiting-list control condition or the ex...
Source: Behavior Therapy - January 12, 2024 Category: Psychiatry & Psychology Authors: Sanne F W van Doornik Klaske A Glashouwer Brian D Ostafin Peter J de Jong Source Type: research

A Pilot Project to Integrate Individualized Measurement Into Measurement-Based Care in a Child Partial Hospitalization Program
Behav Ther. 2024 Jan;55(1):191-200. doi: 10.1016/j.beth.2023.06.002. Epub 2023 Jun 16.ABSTRACTMeasurement-based care (MBC), or the regular use of progress measures to inform clinical decision-making, improves quality of care and clinical outcomes. MBC typically focuses on standardized rather than individualized outcome measurement. In this pilot study, we examined the clinical utility of integrating individualized measurement with existing standardized outcome monitoring in a children's partial hospitalization program. Participants were 48 youth (M age 10.13 ± 1.39; 54.2% male, 41.7% female, 4.2% transgender or nonbinary)...
Source: Behavior Therapy - January 12, 2024 Category: Psychiatry & Psychology Authors: Ruben G Martinez Galen D McNeil Danielle Cornacchio Benjamin N Schneider Tara S Peris Source Type: research

Availability of Internet-Based Cognitive-Behavioral Therapies for Depression: A Systematic Review
The objectives of this literature review were to determine the extent to which research-validated iCBTs were available to the public, as well as to determine their therapeutic content. A literature review of RCTs for iCBTs was conducted on July 30, 2021. For each iCBT, interventions were rated by content and compared to commercially available smartphone apps. Our search yielded 80 studies using 41 unique iCBTs. Of these, only 6 (15%) were completely available to the public, more than half were not publicly available (46%), and the remaining 39% were available to the public with some restrictions (e.g., those based on the u...
Source: Behavior Therapy - January 12, 2024 Category: Psychiatry & Psychology Authors: John F Buss Joshua S Steinberg Gregory Banks Deena Horani Lauren A Rutter Akash R Wasil Israel Ramirez Lorenzo Lorenzo-Luaces Source Type: research

Corrigendum to "The Initial Efficacy of Stand-Alone DBT Skills Training for Treating Impulsivity Among Individuals With Alcohol and Other Substance Use Disorders" [Behav. Therapy 54(5) (2023) 809-822]
Behav Ther. 2024 Jan;55(1):212. doi: 10.1016/j.beth.2023.10.001. Epub 2023 Dec 7.NO ABSTRACTPMID:38216234 | DOI:10.1016/j.beth.2023.10.001 (Source: Behavior Therapy)
Source: Behavior Therapy - January 12, 2024 Category: Psychiatry & Psychology Authors: Marco Cavicchioli Mariagrazia Movalli Aurora Bruni Rachele Terragni Maria Elena Goldoni Elisabetta Borgia Marco Begarani Anna Ogliari Source Type: research

The Relationship Between Psychological Inflexibility and Well-Being in Adults: A Meta-Analysis of the Acceptance and Action Questionnaire
Behav Ther. 2024 Jan;55(1):26-41. doi: 10.1016/j.beth.2023.05.007. Epub 2023 May 26.ABSTRACTPsychological inflexibility is defined as the rigid responding to stimuli (e.g., unpleasant thoughts and feelings) that interferes with well-being and valued actions. It is the treatment target in acceptance and commitment therapy (ACT). Despite the centrality of the link between inflexibility and well-being to ACT theory, an empirical review clarifying the nature of this relationship has not been conducted. As such, the current meta-analysis examined the meta-correlation between psychological inflexibility, measured by the Acceptan...
Source: Behavior Therapy - January 12, 2024 Category: Psychiatry & Psychology Authors: Clarissa W Ong Abigail L Barthel Stefan G Hofmann Source Type: research

A Pilot Trial of a Home-Based Parenting Intervention for High-Risk Infants: Effects on and Moderating Role of Effortful Control
This study aims to fill these gaps in the literature by assessing the efficacy of the Infant Behavior Program (IBP), a parenting intervention for infants with elevated levels of behavior problems, in improving infant EC and the moderating effect of baseline infant EC on intervention outcomes. Participants included 60 high-risk 12- to 15-month-old infants and their mothers. Families were randomized to receive the IBP or standard pediatric primary care. Parent-report measures of infant behavior and compliance were examined at baseline, post-intervention, and 3- and 6-month follow-up assessments. Results showed infants who re...
Source: Behavior Therapy - January 12, 2024 Category: Psychiatry & Psychology Authors: Keara J Neuman Daniel M Bagner Source Type: research

Trait Mindfulness in Psychotic Disorders: Dimensions Predicting Symptoms, Cognition, and Functional Outcome
Behav Ther. 2024 Jan;55(1):55-67. doi: 10.1016/j.beth.2023.05.004. Epub 2023 May 24.ABSTRACTMindfulness-based treatments are efficacious for psychotic disorders (PD). However, which components of mindfulness (i.e., attentive monitoring and nonjudgmental acceptance) are most relevant treatment targets is unclear. Further, there is a dearth of literature examining clinical correlates of mindfulness in people with PD. The present study aimed to examine group differences and clinical correlates of mindfulness in people with PD. We hypothesized that PD would report lower monitoring and acceptance than CN and that mindfulness co...
Source: Behavior Therapy - January 12, 2024 Category: Psychiatry & Psychology Authors: Ian M Raugh Gregory P Strauss Source Type: research

Time to Response in Therapy for Body Dysmorphic Disorder: A Comparison of Cognitive Behavioral Therapy and Supportive Psychotherapy
Behav Ther. 2024 Jan;55(1):68-79. doi: 10.1016/j.beth.2023.05.006. Epub 2023 May 24.ABSTRACTPsychotherapy has been shown to be effective for individuals with body dysmorphic disorder (BDD); however, time to treatment response for different treatments have not yet been examined. We randomized 120 patients to either weekly cognitive behavioral therapy (CBT) or supportive psychotherapy (SPT) at two academic medical research centers. In this secondary data analysis, we aimed to determine the time to first response (30% or greater reduction in BDD symptom severity) in both treatment conditions among those who attended at least ...
Source: Behavior Therapy - January 12, 2024 Category: Psychiatry & Psychology Authors: Susanne S Hoeppner Margaret D Hall Marc Hiranandani Jennifer L Greenberg Sabine Wilhelm Katharine A Phillips Source Type: research